Organization
ALPHA CARE PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IFEOMA IWELUMO MD (MD)
(973) 471-4440
Entity
Organization
Contact information
Practice address
124 GREGORY AVE, SUITE 201, PASSAIC, NJ 07055-4856
(973) 471-4440
Mailing address
124 GREGORY AVE, SUITE 201, PASSAIC, NJ 07055-4856
(973) 471-4440
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0400671095
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6090303
—
NJ
Enumeration date
07/11/2014
Last updated
07/11/2014
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